{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:57:35Z","timestamp":1791809855228,"version":"4.3.4"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Adherence to medication, especially insulin, is a key contributor to diabetes treatment outcomes. Lack of adherence is common among patients with type 1 diabetes mellitus (T1DM) ranging from 23% to 77%, with a higher frequency in developing countries. Poor adherence results in worse glycaemic control and increased mortality and morbidity due to diabetes complications. The objective of this study is to discuss insulin adherence among adolescents with T1DM. The review was conducted through search engines such as PubMed, Medline, Embase and Google Scholar. Search terms used were \u2018type 1diabetes mellitus\u2019, \u2018insulin dependent diabetes mellitus\u2019, \u2018Juvenile diabetes mellitus\u2019, \u2018adherence\u2019, \u2018compliance\u2019, \u2018non adherence\u2019, \u2018barriers\u2019, \u2018omission\u2019, \u2018medical adherence\u2019, \u2018adolescents\u2019, \u2018teenagers\u2019 and \u2018insulin\u2019. T1DM is challenging for adolescents due to its lifelong treatment regimens. Educational programmes and specific interventions which can improve affordability, accessibility and administration of insulin should be implemented to improve insulin adherence among adolescents.<\/jats:p>","DOI":"10.4103\/ijem.ijem_294_22","type":"journal-article","created":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T05:00:07Z","timestamp":1693026007000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Insulin Adherence in Adolescents with Type 1 Diabetes Mellitus"],"prefix":"10.4103","author":[{"given":"Heena","family":"Dabas","sequence":"first","affiliation":[{"name":"Florence Nightingale College of Nursing, Guru Teg Bahadur Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Sarin","sequence":"additional","affiliation":[{"name":"Maharishi Markendshwar College of Nursing, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.V.","family":"Madhu","sequence":"additional","affiliation":[{"name":"Centre for Diabetes, Endocrinology and Metabolism, UCMS-GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,1]]},"reference":[{"issue":"(Suppl 1)","key":"R1-20240828","doi-asserted-by":"crossref","first-page":"S34","DOI":"10.4103\/2230-8210.155378","article-title":"Incidence trends for childhood type 1 diabetes in India","volume":"19","author":"Kumar","year":"2015","journal-title":"Indian J Endocrinol Metab"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1758-5996-2-14","article-title":"Prevalence of type 1 diabetes mellitus in Karnal district, Haryana state, India","volume":"2","author":"Kalra","year":"2010","journal-title":"Diabetol Metab Syndr"},{"key":"R3-20240828","first-page":"233","article-title":"Factors associated with non-adherence to insulin in patients with type 1 diabetes","volume":"30","author":"Riaz","year":"2014","journal-title":"Pak J Med Sci"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s40272-014-0064-6","article-title":"Insulin therapy in children and adolescents with type 1 diabetes","volume":"16","author":"Malik","year":"2014","journal-title":"Pediatric Drugs"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1089\/dia.2016.0142","article-title":"Frequency of missed insulin boluses in type 1 diabetes and its impact on diabetes control","volume":"18","author":"Jaser","year":"2016","journal-title":"Diabetes Technol Ther"},{"key":"R6-20240828","article-title":"The World Health Organization (WHO)","year":"2003","journal-title":"Adherence to long term therapy: Evidence for action. 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